Bilateral Juvenile Cataract in Childhood: A Comprehensive Clinical and Surgical Approach

Eva Imelda; Dara Amalia Lubis; Lakaeisya SY Lathifah; Nikhil Toshniwal; Sarra Mutiara Adev

doi:10.60084/hjas.v3i2.325

Authors

Eva Imelda Department of Ophthalmology, General Hospital Dr. Zainoel Abidin, Banda Aceh 23126, Indonesia
Dara Amalia Lubis School of Medicine, Universitas Syiah Kuala, Banda Aceh 23111, Indonesia
Lakaeisya SY Lathifah School of Medicine, Universitas Syiah Kuala, Banda Aceh 23111, Indonesia
Nikhil Toshniwal Navneet Hospital, Solapur, Maharashtra, India
Sarra Mutiara Adev Medical Programme, Faculty of Medicine, Universitas Brawijaya, Malang 65145, Indonesia

DOI:

https://doi.org/10.60084/hjas.v3i2.325

Keywords:

Juvenile cataract , Irrigation aspiration , Optical rehabilitation , Amblyopia

Abstract

Juvenile cataracts, though less common than congenital types, can cause irreversible visual impairment if diagnosis and treatment are delayed. We report a 10-year-old boy with progressive bilateral visual loss, photophobia, and leukocoria over three years, with a positive paternal history suggesting hereditary etiology. Examination revealed dense bilateral lens opacities and markedly reduced visual acuity. The patient underwent sequential aspiration–irrigation with posterior chamber intraocular lens implantation in both eyes. Surgeries were uneventful; however, postoperative vision in the right eye remained limited due to deprivation amblyopia, while the left eye achieved a better functional outcome. Final refraction showed mild residual error, and the patient was continued on visual rehabilitation and amblyopia therapy. This case highlights the importance of early detection and timely surgery in pediatric cataract to prevent permanent visual deficits and optimize outcomes. This report aims to illustrate the impact of delayed intervention on functional vision, daily activities, and educational performance in school-aged children within resource-limited settings.

Downloads

Download data is not yet available.

References

Organization, W. H. (2021). World Report on Vision, World Health Organization, Geneva.
Mandal, S., Maharana, P. K., Nagpal, R., Joshi, S., Kaur, M., Sinha, R., Agarwal, T., Sharma, N., and Titiyal, J. S. (2023). Cataract Surgery Outcomes in Pediatric Patients with Systemic Comorbidities, Indian Journal of Ophthalmology, Vol. 71, No. 1, 125–137. doi:10.4103/ijo.IJO_1465_22.
Al-Zubi, K., Sarayrah, F., and Khasawneh, M. (2023). Outcomes of Paediatric Cataract Surgery in Southern Jordan, The Open Ophthalmology Journal, Vol. 17, No. 1. doi:10.2174/18743641-v16-e221222-2022-10.
Muhit, M., Karim, T., Islam, J., Hardianto, D., Muhiddin, H. S., Purwanta, S. A., Suhardjo, S., Widyandana, D., and Khandaker, G. (2018). The Epidemiology of Childhood Blindness and Severe Visual Impairment in Indonesia, British Journal of Ophthalmology, Vol. 102, No. 11, 1543–1549.
Sudaryo, L. (2022). Characteristic of Secondary Intraocular Lens Implantation in Aphakic Children in Cicendo National Eye Hospital, Ophthalmologica Indonesiana, Vol. 48, No. 1, 74–79. doi:10.35749/journal.v48i1.100318.
Irfani, I., Wahyu, T., Oktarima, P., Caesarya, S., Sari, M., and Karfiati, F. (2023). Accuracy of the SRK/T Formula in Pediatric Cataract Surgery, Clinical Optometry, Vol. Volume 15, 1–8. doi:10.2147/OPTO.S390994.
Idrus, E. A., Muslima, P., Fajriansyah, A., Mustaram, A. A., Caesarya, S., and Hoesin, F. R. (2025). Band Keratopathy and Cataract in a Child with Nevus Comedonicus Syndrome, Malaysian Journal of Ophthalmology, Vol. 7, No. 1. doi:10.35119/myjo.v7i1.317.
Simamora, R. C. S. R. C., Rumenta, J. R. R. H. J., Hutabarat, R., Sitohang, R. S. R., Nathan, D. S., and Irene, I. (2024). Pediatric Cataracts in Asia: A Systematic Review of Prevalence Study, The Medical Journal of Opthalmology, Vol. 1, No. 1, 29–42.
Wilson, M. E. (2015). Pediatric Cataracts: Overview, American Academy of Ophthalmology.
Repka, M. X., Dean, T. W., Kraker, R. T., Li, Z., Yen, K. G., de Alba Campomanes, A. G., Young, M. P., Rahmani, B., Haider, K. M., Whitehead, G. F., Lambert, S. R., Kurup, S. P., Kraus, C. L., Cotter, S. A., Holmes, J. M., Freedman, S. F., Wallace, D. K., Enyedi, L. B., Prakalapakorn, S., Jones, S. K., Hug, D., Stahl, E. D., Dent, R. J., Kong, L., Wang, S., Gallerson, B. K., Hutchinson, A. K., Lenhart, P., Brower, J., Morrison, D. G., Ruark, S. T., Mets-Halgrimson, R., Yoon, H., Ralay-Ranaivo, H., Hamidullah, A., Areaux, R., Anderson, J. S., Holleschau, A. M., Superstein, R., Belanger, C., Fallaha, N., Hamel, P., Thibeault, M., Tamkins, S. M., Chang, T., Park, H.-J. S., Trumler, A. A., Liu, X., Astle, W. F., Sanders, E. N., Traboulsi, E., Ghasia, F., McOwen, D. C., Gray, M. E., Yang, M. B., Bowman, C. S., Galvin, J., Therriault, M., Smith, H., Whitaker, M. E., Orge, F., Grigorian, A. P., Baird, A. M., Strominger, M. B., Chen, V., Klein, S., Kemmer, J. D., Neiman, A. E., Mendoza, M. N., Frohwein, J. J., Bremer, D., Cassady, C., Golden, R., Jordan, C., Rogers, D., Oravec, S. A., Yanovitch, T. L., Lunsford, K., Nye, C., Shea, C., Stillman, S. M., LaRoche, G. R., Van Iderstine, S. C., Robertson, E., Cruz, O. A., Ghadban, R., Govreau, D., Larson, S. A., Longmuir, S., Shan, X., Clarke, M. P., Taylor, K., Powell, C., Hammond, B. P., Gearinger, M. D., Czubinski, A., Hendricks, D. H., Jin, J., Salvin, J. H., Fisher, A., Lee, K. A., Brooks, D., Schweinler, B. R., Sala, N. A., Sala, A. M., Summers, A. I., Karr, D. J., Wilson, L. B., Rauch, P. K., O’Hara, M., Gandhi, N., Hashmi, T., Colburn, J., Dittman, E., Whitfill, C. R., Wheeler, A. M., McCourt, E. A., Singh, J., Welnick, N., Azar, N. F., Baker, J., Droste, P. J., Peters, R. J., Hilbrands, J., Pineles, S. L., Bernardo, M. J., Peterson, E., Peterson, C. H., Kumar, K., Melese, E., Lingua, R., Grijalva, J., Crouch, E. R., Crouch, E. R., Ventura, G., Anninger, W., Benson, S. L., Karp, K. A., Smith, J. M., Brickman-Kelleher, J., Ticho, B. H., Khammar, A. J., Clausius, D. A., Guo, S., Suh, D., Chamberlain, C., Schloff, S., Madigan, W. P., Burkman, D., Christiansen, S. P., Ramsey, J. E., McConnell, K. H., Friedman, I., Rosado, J., Sauberan, D. P., Hemberger, J. C., Davis, P. L., Rudaitis, I., Lowery, R. S., Cupit, S., Bothun, E. D., Mohney, B. G., Wernimont, S. M., Neilsen, R. A., Herlihy, E. P., Baran, F., Gladstone, A., Smith, J., Mellott, M., Kieser, T., Erzurum, S. A., Colon, B., Shah, B., Quebbemann, M., Beck, R. W., Austin, D. S., Boyle, N. M., Conner, C. L., Chandler, D. L., Donahue, Q., Fimbel, B. P., Robinson, J. L., Hercinovic, A., Hoepner, J. E., Kaplon, J. D., Henderson, R. J., Melia, B. M., Ortiz, G., Woodard, V. C., Stutz, K. M., Sutherland, D. R., Wu, R., Everett, D. F., Diener-West, M., Baker, J. D., Davis, B., Phelps, D. L., Poff, S. W., Saunders, R. A., Tychsen, L., Bradfield, Y. S., Foster, N. C., Plager, D. A., Salchow, D. J., Birch, E. E., Manny, R. E., Silver, J. L., Weise, K. K., and Verderber, L. C. (2022). Visual Acuity and Ophthalmic Outcomes 5 Years After Cataract Surgery Among Children Younger Than 13 Years, JAMA Ophthalmology, Vol. 140, No. 3, 269. doi:10.1001/jamaophthalmol.2021.6176.